Johnny Roger Terry

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW001177 Issued in GA

Practice address

115 W Oglethorpe Hwy
Hinesville, GA 31313

Phone

(912) 334-0524

Fax

(508) 355-0524

NPI assigned

Feb 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Terry Corporation

  • In Home Supportive Care Agency
  • Hinesville, GA
  • NPI 1386470490
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1104459932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304271084",
            "telephone_number": "912-334-0524",
            "fax_number": "508-355-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-334-0524",
            "fax_number": "508-355-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Gloucester St",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315207146",
            "country_code": "US",
            "telephone_number": "912-334-0524",
            "fax_number": "508-355-0524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JOHNNY",
        "middle_name": "ROGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW001177",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2273",
            "identifier": "0001177",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tattnall Hospital Company, LLC
• Henry Alvin Taylor II, D.P.M.
• Jennifer Anne Taylor, RN
• McKayla Logan Taylor
• Terry Corporation
• The Golden Journey Consultants, LLC
• The Kroger Co
• The Urgent Care Center of Richmond Hill, LLC
• Standerline Theogene Morisset
• Christina R Thomas

• Social Worker in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.